Organization
WILMINGTON COMMUNITY CLINIC
Active
Organization
WILMINGTON COMMUNITY CLINIC
Active
Parent organization
WILMINGTON COMMUNITY CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILMINGTON COMMUNITY CLINIC
Authorized official
VERONICA RODARTE (REVENUE CYCLE MANAGER)
(310) 714-8521
Entity
Organization
Contact information
Practice address
1700 GULF AVE, WILMINGTON, CA 90744-1311
(310) 549-5760
Mailing address
1009 N AVALON BLVD, WILMINGTON, CA 90744-4505
(310) 549-5760
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
07/17/2026
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